Meta-Analysis: The Effect of HBM-Based Health Education on Improving Oral Health in Students
DOI:
https://doi.org/10.26911/thejhpb.2025.10.02.05Abstract
Background: Oral health problems are an important concern in health development, one of which is caused by the vulnerability of school-age children from oral and dental health disorders. School age is an important age in the growth and physical development of children. One of them is the habit of maintaining oral and dental health. This study aims to analyze and estimate the influence of HBM-based health education on oral and dental health in students.
Subject and Method: The meta-analysis was performed according to the flow of the PRISMA diagram and the PICO model. The search for articles in this study is through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "Oral health" AND "Health Belief Model" AND "Students". Full paper article with RCT study, the subject of the study is the student, the measure of the relationship used is SMD, the outcome of the research is knowledge and perception of the severity of obesity prevention. Analysis was done with Revman 5.3
Results: There were 6 articles with randomized control trial designs from Iran and Hong Kong with 829 research samples. A meta-analysis of 6 randomized control trial studies concluded that students who received HBM-based education had a 1.04-fold higher perceived benefit for improving oral health compared to students who did not receive education, and the effect was statistically significant (SMD= 1.04; CI 95%= 0.28 to 1.79; p= 0.007). A meta-analysis of 5 randomized control trial studies concluded that students who received HBM-based education had a higher perception of severity to improve oral health 1.73 times compared to students who did not receive education, and the effect was statistically significant (SMD= 1.73; CI 95%= 0.49 to 2.98; p=0.006).
Conclusion: HBM-based education has benefit to improve oral health.
Keywords:
Oral health, health belief model, perceived benefitReferences
Abraham C, Sheeran P (2014). The Health Belief Model, Cambridge Handbook of Psychology, Health and Medicine, Second Edition. 97–102. DOI: 10.101-7/CBO9780511543579.022
Agusta MV, Ismail A, Firdausy MD (2015). Hubungan pengetahuan kesehatan gigi dengan kondisi (The relationship between dental health knowledge and conditions). Mendali Jurnal, 2(1): 64–68. DOI: 10.30659/medali.v2i1.453.
Ashoori F, Karimi M, Seif M (2022). Com-parison of the effect of mothers and students' education on the promotion of oral health behaviours in female students, using the health belief model. Int J Dent Hyg. 20(4): 601-608. doi: 10.1111/idh.12564.
Artami NW (2022). Gambaran Penge-tahuan Tentang Pemeliharaan Ke-sehatan Gigi Dan Mulut Pada Siswa Kelas V SDN 5 Kerta Kecamatan Payangan Kabupaten Gianyar (Over-view of Knowledge about Dental and Oral Health Maintenance in Class V Sdn 5 Kerta Students, Payangan District, Gianyar Regency). Jurnal Kesehatan Gigi, 3(4), 49–58.
Bintari T, Prasetyowati S (2022). Pening-katan Pengetahuan Kader UKGS Tentang Cara Menjaga Kesehatan Gigi Dan Mulut Melalui Penyuluhan (Increasing the Knowledge of UKGS Cadres on How to Maintain Dental and Oral Health Through Counseling). Indonesian Journal of Health and Medical. 2(3): 361–366.
Kementerian Kesehatan RI. 2018. Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kemen-terian RI.
Mohammadkhah F, Ramezankhani A, At-ashpoosh A, Ahmady Moghadam F, Bakhtiar M, Khani Jeihooni A. Effect of training based on health belief model and behavioral intention on improving dental and oral self-care behavior in 9-12-year-old Iranian fe-male students. BMC Oral Health. 2022 Nov 19;22(1):515. doi: 10.1186/s12903-022-02552-0.
Ndoen E, Ndun HJN (2021). Perbaikan Kesehatan Gigi dan Mulut melalui Pemberian Cerita Audiovisual dan Simulasi pada Anak (Improving dental and oral health through audiovisual stories and simulations to children). Jurnal Pengabdian Kepada Masyarakat Undana, 15(1): 1-7. https://doi.org/10.35-508/jpkmlppm.v15i1.4876
Pratiwi N (2022). Hubungan tingkat penge-tahuan tentang kesehatan gigi dengan perilaku perawatan gigi pada anak kelas V di Sekolah Dasar Negeri 1 Gianyar (The level of knowledge about dental health with dental care behavior in grade V children at Elementary School 1 Gianyar). Insitut Teknologi Dan Kesehatan Bali.
Peyman N, Samiee Roudi K (2015). The effect of education based on the theory of planned behavior on caries prevention of permanent teeth in fifth grade students in Khaf City. J Mash Dent Sch. 39(2):123e36.
Putri VS, Suri M (2022). Pentingnya Kese-hatan Gigi dan Mulut pada Anak Usia Sekolah di RT 10 Kelurahan Murni Kota Jambi (The Importance of Dental and Oral Health in School-Age Children in RT 10 Murni Village, Jambi City), Jurnal Abdimas Kesehatan. 4(1): 39. https://doi.org/10.36565/jak.v4i1.207.
Rahayu C, Widiati S, Widyanti N (2014). The relationship between knowledge, attitudes, and behaviors on the maintenance of dental and oral hygiene with pre-elderly periodontal health status in Posbindu, Indihiang District, Tasikmalaya City. Majalah Kedokteran Gigi Indonesia, 21(1), 27. https://doi.org/-10.22146/majkedgiind.8515
Sanaeinasab H, Saffari M, Taghavi H, Karimi ZA, Rahmati F, Al Zaben F, Koenig HG (2022). An educational intervention using the health belief model for improvement of oral health behavior in grade-schoolers: a rando-mized controlled trial. BMC Oral Health. 22(1):94. doi: 10.1186/s12903-022-02132-2.
Siddiqui TR, Ghazal S, Bibi S, Ahmed W, Sajjad SF (2016). Use of the Health Belief Model for the Assessment of Public Knowledge and Household Preventive Practices in Karachi, Pakistan, a Dengue-Endemic City. PLoS Negl Trop Dis. 10(11):e0005129. doi: 10.1371/journal.pntd.0005129.
Sulastri (2018). Pengaruh Pendidikan Kesehatan Terhadap Sikap dan Perilaku Personal hygiene Gigi dan Mulut Anak Usia Dekolah di SD Negeri Payung (The Influence of Health Education on Attitudes and Behaviors of Personal Hygiene of Dental and Oral Children of Dekolah Age at SD Negeri Payung). Jurnal Care. 6(1).
Susanti E, Anang, Rismayani L (2021). Pengetahuan Dan Perilaku Kesehatan Gigi Dengan Periodontitis Pada Pasien Puskesmas Kasomalang Subang (Knowledge and Behavior of Dental Health with Periodontitis in Patients of Kasomalang Subang Health Center). 2(1). Doi: 10.36082/Jdht.V2i1.193.
Vaezipour Z, Gharlipour Z, Mohebi S, Shari-firad G (2018). Effect of Education on Promoting Preventive Behaviors of Oral and Dental Problems: Applying Health Belief Model. Health Educ Health Promot. 6(4):135-141. http://-hehp.modares.ac.ir/article-5-13448-en.html
Xiang B, McGrath CPJ, Wong HM (2022). The Efficacy of a Multi-Theory-Based Peer-Led Intervention on Oral Health Among Hong Kong Adolescents: A Cluster-Randomized Controlled Trial. J Adolesc Health. 70(2):267-274. https://doi.org/10.1016/j.jadohealth.2021.08.001.
